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01. |
Organizational Problems |
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02. |
Inflexible Management Structure |
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03. |
Insufficient Education/Training |
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04. |
Poor Value Perception |
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05. |
Poor Safety Awareness |
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06. |
Inadequate Risk Recognition |
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07. |
Insufficient Analysis or Research |
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08. |
Insufficient Practice |
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09. |
Lack of Imagination |
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10. |
Planning and Design |
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11. |
Poor Planning |
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12. |
Poor Design |
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13. |
Regular Movement |
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14. |
Careless Movement |
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15. |
Contact With Steam Piping |
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16. |
Bad Event |
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17. |
Chemical Phenomenon |
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18. |
Abnormal Reaction |
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19. |
Failure |
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20. |
Large-Scale Damage |
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21. |
Rapture |
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22. |
Secondary Damage |
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23. |
External Damage |
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24. |
Explosion |
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25. |
Bodily Harm |
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26. |
Injury |
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27. |
3 person injured |
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Explosion of acrylic acid in the drum can in the heating cabinet for dissolution
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Knowledge Comment: |
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It is out of question that there was no education about danger of heating and handling care, but the accident was not generated by only small invention on the facility. |
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